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General NPI Number Information
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NPI Number | 1437065646
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Entity Type | Individual
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Provider Name | YESENIA ISAZA
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Gender | Female
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Dates
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Enumeration Date | 08/19/2026
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Last Update Date | 08/19/2026
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Provider Practice Location Address
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Address Line | 2623 S SEACREST BLVD STE 106
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7531
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Country | US
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Telephone | 561-501-1633
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Fax |
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Provider Business Mailing Address
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Address Line | 4421 N FEDERAL HWY APT 307
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City | POMPANO BEACH
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State | FL
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Zip | 33064-6696
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AG07260077
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License Number State | FL
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